Individual provider Active NPI

Brenda Joan Forrest, M.D

  • Internal Medicine Physician
  • Sonora, CA
National Provider Identifier
1538375365
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G87532 Issued in CA
Practice address
900 Greenley Rd
Suite 922
Sonora, CA 95370
Phone
(209) 536-3738
Fax
(209) 536-3562
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G87532 CA Primary

Addresses

Primary practice location

900 Greenley Rd
Suite 922
Sonora, CA 95370

Mailing address

900 Greenley Rd
Suite 922
Sonora, CA 95370
Phone (209) 536-3738

Other names 1

  • Mrs. Brenda Forrest Sweeney Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
87532CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1538375365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GREENLEY RD",
            "address_2": "SUITE 922",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-536-3738",
            "fax_number": "209-536-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GREENLEY RD",
            "address_2": "SUITE 922",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-536-3738",
            "fax_number": "209-536-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "BRENDA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G87532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "SWEENEY",
            "middle_name": "FORREST",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.